AQMD Rule 1194 Funding Disbursement Form

Form Template

Taxicab operators can use the AQMD Rule 1194 Funding Disbursement Form app for fiscal service and payment.

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The app features a template that records general information about the taxicab operator/organization, name and address of the auto dealership, and other pertinent information such as balance of vehicle funding, proof of insurance, fueling card, and contractor or subcontractor signature. Any agency can use this app to track fund information for vehicles. The app is easy to edit to adjust payment information and vehicle details. It is perfect for recordkeeping and to store for fiscal impact documentation.

  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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